An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The patient told the parents about the uncle's behavior, but the parents did not believe the adolescent. What type of crisis exists?

a. Maturational
b. Adventitious
c. Situational
d. Organic


ANS: B
An adventitious crisis is a crisis of disaster that is not a part of everyday life; it is unplanned or accidental. Adventitious crises include natural disasters, national disasters, and crimes of violence. Sexual molestation falls within this classification. Maturational crisis occurs as an individual arrives at a new stage of development, when old coping styles may be ineffective. Situational crisis arises from an external source such as a job loss, divorce, or other loss affecting self-concept or self-esteem. Organic is not a type of crisis.

Nursing

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A) "They confirmed my diagnosis with a lymph node biopsy, and I'll get radiation treatment soon because it's fairly early stage." B) "They took a sample of my lymph nodes, and I'll be having surgery soon that will hopefully cure my lymphoma." C) "My blood work came back positive for NHL, and I'm meeting with my oncologist to discuss chemotherapy soon." D) "Since the tests show NHL, I'm going to pursue my options for palliative care because I'm committed to dying with dignity."

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The nurse is assessing a client from another country for a personality disorder. Even though the client makes statements that the nurse interprets as symptoms of personality disorders, the nurse should plan to:

1. investigate the statements with a cultural expert. 2. assume the client has a disorder. 3. ask the family about past diagnoses. 4. report the symptoms to the physician.

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A patient has severe shoulder pain from subluxation of the shoulder is being cared for on the unit. To prevent further injury and pain, the nurse caring for this patient is aware of what?

A) Use of a sling should be avoided due to adduction of the affected shoulder. B) Elevation of the arm and hand can lead to further complications associated with edema. C) Passively exercising the affected extremity is avoided to minimize pain. D) The patient should be taught to interlace fingers, place palms together, and slowly bring scapulae forward to avoid excessive force to shoulder.

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A patient is in hospice with a diagnosis of end-stage heart failure. How would the nurse explain the primary treatment goal for this patient?

1. Provide significant pain medications. 2. Provide comfort and reduce any distressing respiratory symptoms. 3. Keep the patient out of the hospital. 4. Provide information to the family.

Nursing